32 Miss. Code. R. 1-19.0

Current through December 10, 2024
Section 32-1-19.0 - PROSTHETIC AND ORTHOTIC & APPLIANCES

The provision of Prosthetic and Orthotic Devices in an appropriate Independent Living Service.

OSDP staff will follow the same guidelines and procedures set forth in the OVR/OVRB Resource Guide and the Fee Schedule Amputee Clinic Section and fees for Orthotic Procedures L0000-L4999, that specify guidelines regarding Prescriptions, Authorizations, Physical Therapy, Checkout Sessions, Appointments and Fees.

The IL Counselor should provide the client receiving a prosthetic or orthotic device with sufficient information so the client can make Informed Choices regarding the provision of this service. In some instances, a physician or prosthetist may refer the client. A client who was originally referred to OSDP by a prosthetist should have the new appliance purchased from that company unless there are documented reasons to the contrary, ex. The client chooses to use another prosthetic company.

If the individual has experienced any recent physical problems or changes, a current evaluation and medical records should be obtained from the primary treating physician that indicates their current physical condition.

Any client with amputations resulting from diabetes should be evaluated prior to a prosthetic fitting by an internist or their primary treating physician, to determine that there have been no exacerbations of the physical condition that would affect the successful fitting of a new appliance. The Counselor may obtain current medical information from their primary treating physician that may reflect that there have been no exacerbations of their physical condition.

When determining if a prosthetic or orthotic appliance will benefit an individual in terms of improving their ability to function more independently in the family or community, the following should be considered:

1. Is the person medically ready to wear a prosthesis?

2. Will a prosthetic or orthotic fitting be beneficial in terms of functioning more independently in the home and community?

3. Prescription for the prosthetic or orthotic device

4. Recommendations for appropriate training in the use of the prosthesis or orthotic device.

(See fee schedule for L codes when purchasing orthotic and/or prosthetics)

32 Miss. Code. R. 1-19.0